Neoplasms Clinical Trial
— COLTOfficial title:
Improving Outcome of Selected Patients With Non-resectable Hepatic Metastases From Colo-rectal Cancer With Liver Transplantation: a Prospective Parallel Trial
The COLT trial is an investigator-driven, multicenter, non-randomized, open-label, controlled, prospective, parallel trial, aimed at assessing the efficacy (in terms of overall survival: OS) of liver transplantation (LT) in liver-only CRC metastases, compared with a matched cohort of patients bearing the same tumor characteristics, collected during the same time period and included in a phase III Italian RCT on triplet chemotherapy+antiEGFR
Status | Recruiting |
Enrollment | 22 |
Est. completion date | January 2024 |
Est. primary completion date | January 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 69 Years |
Eligibility | Inclusion Criteria: - Histologically confirmed non-mucinous colon adenocarcinoma. - Primary tumor as pT1-3, pN0 or pN1 (metastases in < 4 regional lymph nodes), confirmed R0 resection. - RAS and BRAF wild-type & MSS molecular status as per local testing. - Liver metastases not eligible for curative liver resection - Objective response according to RECIST 1.1 to first-line treatment, with sustained response for at least 4 months, OR disease control (CR+PR+SD) during second-line treatment for at least 4 months. - A maximum of two prior chemotherapy treatment lines. - Performance status, ECOG 0. - Satisfactory blood tests Hb >10g/dl, neutrophils >1.0 (after any G-CSF), TRC >75, Bilirubin<2 x upper normal level, AST, ALT<5 x upper normal level, creatinine <1.25 x upper normal level. - CEA<50 ng/ml Exclusion Criteria: - Hereditary CRC syndromes including FAP and Lynch syndrome. - Prior extra hepatic metastatic disease or primary tumor local relapse. - Extra-peritoneal cancers (rectum). - Other malignancies in the previous 5 years - Active intra-venous or alcohol abusers - HIV infection |
Country | Name | City | State |
---|---|---|---|
Italy | SOD Clinica di Chirurgia Epatobiliare, Pancreatica e dei Trapianti e SC di Oncologia Medica, Ospedali Riuniti di Ancona | Ancona | |
Italy | ASST Papa Giovanni XXIII | Bergamo | |
Italy | Chirurgia EBP e dei Trapianti di Fegato e SC di Oncologia Medica, Ospedale Policlinico San Martino | Genova | |
Italy | Fondazione IRCCS Istituto NAzionale Tumori di Milano | Milan | |
Italy | Azienda Ospedaliera Ospedale Niguarda Ca' Granda | Milano | |
Italy | Ospedale Maggiore di Milano Policlinico | Milano | |
Italy | Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (ISMETT) | Palermo | |
Italy | GONO Group (Gruppo Oncologico Nord Ovest) TRIPLETE Trial Coordination | Pisa | |
Italy | Fondazione Policlinico Universitario A.Gemelli IRCCS | Roma | |
Italy | Ospedale Universitario Molinette S. Giovanni Battista di Torino | Torino | |
Italy | Centro Trapianti di Fegato e SC di Oncologia Medica, A.S.U. Integrata di Udine | Udine | |
Italy | Centro Trapianti di Fegato e SC di Oncologia Medica, A.O.U. Integrata di Verona | Verona |
Lead Sponsor | Collaborator |
---|---|
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano | Gruppo Oncologico del Nord-Ovest, Istituto Di Ricerche Farmacologiche Mario Negri |
Italy,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Overall Survival | Time from enrolement to either death or censoring | 5 years | |
Secondary | Progression Free Survival | Time from enrolement to either progression or censoring | 5 years | |
Secondary | Complications rate | Complications according to Dindo Clavien Classification | 90 days after liver transplant |
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